| NPI | 1629589429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-67895) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-19-9492) |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2023-09-11 |